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The Impact of Surgical Site Infection to the Health Care Cost Triani Marwati; A.A. Subiyanto; Totok Mardikanto; Priyambodo Priyambodo; Marsiana Wibowo; Nurul Qomariyah
International Journal of Public Health Science (IJPHS) Vol 5, No 2: June 2016
Publisher : Intelektual Pustaka Media Utama

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (42.695 KB) | DOI: 10.11591/ijphs.v5i2.4775

Abstract

Surgical Site Infection (SSI) is the most common cause of nosocomial infections. The incidence of SSI is ranging between 14 - 16% of the entire incident of nosocomial infections in hospitalized patients. The objectives of this study were to determine the relationship between knowledge, attitude, infrastructure and behavior of health personnel to prevent SSI and to determine the amount of additional costs for hospital care as a result of SSI. This study used a mixed method research. Quantitative research conducted with descriptive analytic design with cross sectional approach. Quantitative data was analyzed by univariate and bivariate analysis. Qualitative research was used to measure additional cost due to SSI. Health personnel showed good knowledge about SSI prevention (89.6%), good attitude towards SSI prevention (57%), assessed good for hospital infrastructure (93.8%), but only 55.2% showed good behavior to prevent SSI. There were no relationship between knowledge and attitudes of health personnel, and hospital infrastructure with health personnel behavior to prevent SSI. Additional cost due to SSI was IDR 18,375,000 for each patient.
FACTORS RELATED TO STUNTING INCIDENCE IN CHILDREN UNDER-FIVE YEARS IN ARGODADI, SEDAYU, BANTUL Yanasta Yudo Pratama; Tri Ani Marwati; Muhammad Syamsu Hidayat
Epidemiology and Society Health Review (ESHR) Vol. 3 No. 2 (2021)
Publisher : Universitas Ahmad Dahlan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26555/eshr.v3i2.3761

Abstract

Background: Stunting is a chronic nutritional problem due to insufficient food intake with the standard nutritional needs - starting from pregnancy to 2 years of age. Stunting could be raising a lousy impact on children's health, inhibited brain development, motor development, and physical growth obstruction. Stunting is also harmful to national development because stunted children have low productivity and intelligence. This study aimed to determine the relationship between mother body height and the incidence of stunting in children aged 0-59 months in Argodadi, Sedayu, Bantul.Methods: This research was an observational analytic with a case-control design. This study population was all mothers who have toddlers aged 0-59 months. The population was 690 respondents. We recruited 154 samples using random sampling - consisting of 77 cases and 77 controls. Microtoise, infatometer, questionnaire, and WHO Anthro were used to collect the data. Data were analyzed using descriptive and chi-square tests.Results: The chi-square test shows that mother body height was associated with the incidence of stunting p-value 0.005 (p <0.05); OR: 3.2 CI (1.37- 7.52).Conclusions: Mother body height is a risk factor for stunting in children aged 0-59 months.
DESCRIPTION OF KNOWLEDGE AND COMPLIANCE PAY IN JKN PARTICIPATION IN PANGGUNGHARJO VILLAGE, YOGYAKARTA Intan Wahyuni Tukiyo; Tri Ani Marwati; Arditya Sejati; Purwanto Purwanto; Muhammad Fahmi; Eka Hariani
Husada Mahakam Vol 10 No 2 (2020): Nopember 2020
Publisher : Poltekkes Kemenkes Kalimantan Timur (URL: http://poltekkes-kaltim.ac.id/)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35963/hmjk.v10i2.213

Abstract

ABSTRAK Jaminan Keseatan Nasional (JKN) merupakan salah satu program yang dibuat untuk membangun penduduk indonesia yang sehat. Dengan mengikuti kepesertaan JKN, diharapkan masyarakat mendapatkan pelayanan kesehatan yang baik dan pengobatan yang sesuai dengan pembayaran yang terjangkau. Kepesertaan JKN terdiri dari beberapa tingkatan kepesertaan sehingga masyarakat dapat mengikuti sesuai dengan kondisi masing-masing, pemilihan kepesertaan ini dapat dipengaruhi oleh beberapa faktor seperti pengetahuan, penghasilan, motivasi dan sebagainya. Sehingga penelitian ini bertujuan untuk mengetahui gambaran pengetahuan dan kepatuhan membayar dalam kepesertaan JKN di Desa Panggungharjo, Yogyakarta. Penelitian ini menggunakan rancangan crossectional dan pendekatan deskriptif kuantitatif, dengan menggunakan teknik accidental sampling didapatkan sebanyak 40 responden. dengan hasil kepesertaan JKN masyarakat Desa Panggungharjo sebesar 97,5%, dengan tingkat kepatuhan membayar sebesar 97,5% dan memiliki pengetahuan yang baik sebesar 87,5%. Sehingga dapat dikatakan bahwa masyarakat Desa Panggungharjo sudah berpengetahuan baik dan patuh dalam membayar iuran JKN
DIMENSI KUALITAS PELAYANAN DAN DAMPAKNYA TERHADAP TINGKAT KEPUASAN PASIEN: STUDI DI UNIT FISIOTERAPI Fahmi Rizal; Tri Ani Marwati; Solikhah Solikhah
Jurnal Kesmas (Kesehatan Masyarakat) Khatulistiwa Vol 8, No 2 (2021): JURNAL KESMAS (KESEHATAN MASYARAKAT) KHATULISTIWA
Publisher : Universitas Muhammadiyah Pontianak

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29406/jkmk.v8i2.2624

Abstract

Fisioterapi menjadi salah satu komponen pelayanan rumah sakit yang memiliki peran penting dalam memberikan pelayanan kesehatan kepada masyarakat. Penelitian ini bertujuan untuk mengetahui bagaimana kepuasan pasien berdasarkan dimensi kualitas pelayanan (tangible, reliability, responsiveness, assurance, empathy) di unit fisioterapi rumah sakit PKU Muhammadiyah Yogyakarta. Jenis penelitian ini adalah penelitian kuantitatif dengan menggunakan pendekatan (cross-sectional study). Populasi dalam penelitian adalah seluruh pasien baru periode Agustus-September 2020 di unit fisioterapi rumah sakit PKU Muhammadiyah Yogyakarta, sampel sebanyak 76 orang dengan penentuan sampel menggunakan teknik accidental sampling, data dianalisis menggunakan analisis chi square dan regresi logistik. Hasil penelitian yang dilakukan menunjukkan bahwa kualitas pelayanan tangible (p=0.018), reliability (p=0.010), responsiveness (0.000), assurance (0.000), empathy (0.001) memiliki hubungan terhadap kepuasan pasien di unit fisioterapi rumah sakit PKU Muhammadiyah Yogyakarta. Dapat disimpulkan bahwa ada hubungan kualitas pelayanan (tangible, reliability, responsiveness, assurance, empathy) terhadap kepuasan pasien di unit fisioterapi rumah sakit PKU Muhammadiyah Yogyakarta.
IMPLEMENTASI TELERADIOLOGI DALAM UPAYA PENINGKATAN MUTU LAYANAN RADIOLOGI BERBASIS SYARIAH Ali Roo’in Mas’uul; Triani Marwati
JKM (Jurnal Kesehatan Masyarakat) Cendekia Utama Vol 8, No 1 (2020): JKM (Jurnal Kesehatan Masyarakat) Cendekia Utama
Publisher : STIKES Cendekia Utama Kudus

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31596/jkm.v8i1.571

Abstract

Salah satu mutu pelayanan yang seringkali menjadi masalah di rumah sakit adalah waktu tunggu layanan radiologi yang lama, khususnya waktu tunggu hasil pelayanan thorax foto yang merupakan jumlah jenis foto paling banyak. Hal ini berdampak pada penanganan pasien dan psikologis pasien. Di RS Islam Yogyakarta PDHI, sejak 2016 layanan ini dievaluasi dan sepenuhnya belum memenuhi standar yang ditetapkan. Oleh karena itu, perlu upaya inovasi guna mengatasi hal ini yakni dengan penerapan teleradiologi dalam layanan radiologi sehingga dapat meminimalkan waktu tunggu. Tujuan penulisan ini adalah untuk mendeskripsikan upaya peningkatan mutu waktu tunggu pelayanan radiologi berbasis syariah dengan penerapan teleradiologi di RS Islam Yogyakarta PDHI. Jenis penelitian yang digunakan adalah Action Reseacrh dengan melakukan kegiatan perancangan, implementasi dan obser vasi, dan refleksi yang dilakukan dengan bersiklus. Objek penelitian adalah waktu tunggu foto thorax di radiologi. Setting penelitian ini adalah di RSIY PDHI pada tahun 2017 – 2018. Hasil penelitian menunjukkan bahwa penerapan teleradiologi pada layanan radiologi ternyata dapat meningkatkan mutu layanan dengan waktu tunggu foto thorax yang lebih pendek atau mencapai standar KMK No. 1014 Tahun 2008 sehingga dengan hasil ini dapat digunakan pula sebagai media promosi RS sesuai Standar Syariah Manajemen Pemasaran (SSMP) 1.4.2 yaitu pemasaran sesuai dengan ketentuan peraturan perundang-undangan, promosi pemasaran harus bersifat informatif, tidak komparatif, tidak berlebihan, berdasarkan Kode Etik Rumah Sakit Indonesia, berpijak pada dasar dan data yang nyata. Indikator waktu tunggu foto thorax dapat tercapai secara konsisten dengan rerata waktu tunggu pada shift siang yaitu kurang dari 3 jam. Selain itu dengan penerapan Teleradiologi juga dapat menghemat biaya pengadaan sistem PACS yang harganya mencapai ratusan juta serta dengan sistem ini semua arsip foto, hasil bacaan dan register pasien terarsipkan secara digital dan dapat diakses kapan saja sesuai kebutuhan yang diberikan wewenang. Selain itu, prosedur pelayanan syariah dalam pemeriksaan foto thorax dengan pengenaan kerudung syari bebas logam khusus pasien putri, menggunakan baju pasien bebas logam di Kesimpulannya bahwa penerapan teleradiologi telah berhasil memperpendek waktu tunggu foto thorax dan secara tidak langsung hal ini mampu meningkatkan mutu layanan di rumah sakit.Kata kunci: waktu tunggu foto thorax, teleradiologi, mutu layanan berbasis, syariah, keselamatan pasien
ANALISIS PROGRAM INDONESIA SEHAT DENGAN PENDEKATAN KELUARGA (PIS-PK) INDIKATOR HIPERTENSI DAN KB DI DESA COMBONGAN RT 01, RT 02 DAN RT 03 Triani Marwati; Irnafa Ratri Aisya; Aulia Alifariani
Jurnal Pemberdayaan: Publikasi Hasil Pengabdian Kepada Masyarakat Vol. 2 No. 1 (2018)
Publisher : Universitas Ahmad Dahlan, Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.12928/jp.v2i1.487

Abstract

The Healthy Indonesia Program with Family Approach (PIS-PK) integrates program implementation through the 6 main components in strengthening health systems (six building blocks), namely strengthening efforts to health services, availability of health workers, health information systems, access to essential medicines, financing and leadership or government. The purpose of this study is to increase family and member access to comprehensive (promotive-preventive, curative and rehabilitative health services) and to understand the healthy family approach program with a family approach (PIS-PK). The location of this study was in Combongan Village RT 01, RT 02 and RT 03, Bantul Regency. The population in this study were residents who lived in Combongan Village, Banguntapan District, Bantul Yogyakarta. The sample in this study was all families living in Combongan Village, Banguntapan District, Bantul, Yogyakarta. The results of this study the highest coverage value found in the indicators of families having access and using healthy latrines, which is 37%. There were 5 main problems in RT 01, RT 02, and RT 03. Hypertension and family planning were the priority problems in the area. The Healthy Indonesia Program is one of the programs from the 5th agenda of Nawa Cita, namely Improving the Quality of Indonesian Human Life. The goal of the Healthy Indonesia Program is to increase the health status and nutritional status of the community through health and community empowerment efforts supported by equitable health services and financial protection
EFEKTIVITAS PELAYANAN PROGRAM PENYAKIT KRONIS DALAM MENGONTROL TEKANAN DARAH PADA PESERTA PROLANIS YANG MENGALAMI HIPERTENSI Trismadani Erlina Putri; Muhammad Syamsu Hidayat; Tri Ani Marwati
TEKNOLOGI MEDIS DAN JURNAL KESEHATAN UMUM Vol 5 No 2 (2021): Medical Technology and Public Health Journal September 2021
Publisher : UNUSA Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33086/mtphj.v5i2.2746

Abstract

Hypertension is one of the causes of the highest morbidity and mortality rates in Indonesia. So that the needs of people who suffer from hypertension for health services are increasing. Prolanis is controlling the health condition of the hypertension sufferer program under the auspices of BPJS. The purpose of this study is to analyze the effectiveness of Prolanis in controlling blood pressure in prolanis participants. The method used in this article is a systematic literature review. The literature review searches using Google Scholar, Pubmed, and Researchgate databases in the 2017-2022 range with the search keywords are “Tekanan Darah” AND “Program Penanggulangan Penyakit Kronis” OR “Prolanis” AND “Hipertensi”, “Blood Pressure” AND “Chronic Disease Management Programs” OR “Prolanis” AND “Hypertension” found 8 articles met the selection criteria based. The results of the study of 8 articles showed that Prolanis activities could effectively control the blood pressure of Prolanis participants if they were carried out actively and routinely. The implementation of Prolanis activities, namely, medical consultations, group education and club activities, SMS gateway reminders, and recommended home visits can be carried out in all Prolanis first health care facilities in Indonesia in preventing and controlling blood pressure of people with hypertension.
KUALITAS PELAYANAN PETUGAS PENDAFTARAN RAWAT JALAN TERHADAP PELAYANAN PRIMA DI RUMAH SAKIT: STUDI LITERATUR Yanasta Yudo Pratama; Sri Wahyunita Mohamad; Tri Ani Marwati; Muhammad Syamsu Hidayat
Jurnal Kajian Ilmiah Kesehatan dan Teknologi Vol 4 No 2 (2022)
Publisher : Politeknik Unggulan Kalimantan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52674/jkikt.v4i2.59

Abstract

The Outpatient Registration Center is a leading service unit which is one part of the medical record task and the place where the patient first meets the officer. Excellent Service, namely the best service provided in accordance with expectations or even exceeding customer expectations. Assessment of service quality through 5 dimensions, namely Ability, Attitude, Attention, Action, and Responsibility. To determine the factors related to the registration service officer of the excellent service in the hospital. Literature search reviewed using the Google Scholar Database with the topic "Quality of Outpatient Registration Officer Service Against Excellent Service" Search keywords used in the database are Keyword and Boolean operators which are used to expand or specify the search so that it can make it easier to determine articles or research journals used. Literature search aims to get as many scientific publications on a given topic as possible by taking into account the interrelationships between keywords so that there are 7 suitable studies. The results of the literature reviewed show that the Service Quality of Registration Officers for Excellent Service in Hospitals There is a relationship between them, namely Ability, Attitude, Attention, Action, and Responsibility. Of the five dimensions of Excellent Service to the service quality of the registration officer, most of them have shown the results of the service quality assessment which are considered good and have achieved minimal service standards. Based on the results of the 7 Literature Studies that have been found by the author on the Dimensions of Attitude, Attention, Action, Ability, Appearance and Responsibility for Excellent Service in Hospitals There is a Meaningful Relationship because of the 6 Dimensions of Excellent Service it is very important for a service quality in the hospital
PENGARUH PENYAKIT KOMORBIT, USIA DAN GENDER DALAM DETERMINAN TERHADAP KESDIAAN VAKSINASI COVID-19 PADA LANSIA Mentes Hartanti; Muhammad Syamsu Hidayat; Tri Ani Marwati
Jumantik Vol 9, No 1 (2022): JUMANTIK: Jurnal Mahasiswa dan Peneliti Kesehatan
Publisher : Universitas Muhammadiyah Pontianak

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29406/jjum.v9i1.4631

Abstract

Vaksinasi COVID-19 bertujuan untuk mengurangi transmisi/penularan COVID-19, menurunkan angka kesakitan dan kematian akibat COVID-19, mencapai kekebalan kelompok di masyarakat (herd immunity) dan melindungi masyarakat dari COVID-19. Beberapa determinan yang menyebabkan kurangnya kesediaan masyarakat terhadap vaksinasi covid-19 pada lansia, oleh karena itu sistematika review ini bertujuan mengidentifikasi terhadap factor-faktor determinan tersebut melalui literatur review melalui penelusuran hasil penelitian dalam bentuk artikel full text dari data base jurnal yaitu pubmed Tahun 2019-2022.  Analisa data menggunakan kerangka PICO dan diagram flow PRISMA. Kesimpulan: Masih banyaknya permasalahan yang perlu dilakukan studi /penelitian terkait determinan yang mempengaruhi kesediaan vaksinasi covid-19 pada lansia  
Risk Factors of Pulmonary Tuberculosis in Type 2 Diabetes Mellitus in Yogyakarta Nuraisyah, Fatma; Juliana, Ningsih; Astaria, Dana; Khalisah, Noor; Fatih, Dzikrina Miftahul Fitri Al; Dewi, Syamsumin Kurnia; Sunarti; Marwati, Triyani
Journal of Epidemiology and Public Health Vol. 9 No. 2 (2024)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/jepublichealth.2024.09.02.06

Abstract

Background: The prevalence of pulmonary tuberculosis (TB) increases along with the increasing prevalence of Type 2 Diabetes Mellitus (T2DM) patients. The frequency of TB in type 2 DM patients (10 to 15%) and the prevalence of this infectious disease is 2 to 5 times higher in DM patients compared to non-diabetics. This study aimed to analyze the risk factors for pulmonary TB in T2DM patients in Yogyakarta.Subjects and Method: This study uses a case-control study design conducted at RESPIRA Lung Hospital Yogyakarta from January 16 to February 20, 2023. The number of samples was 52 people with a total of 26 people in the case and control groups. Samples were taken by consecutive sampling technique. The independent variables were age, gender, employment, education, BMI, smoking status, clinical symptoms, family history of TB, previous history of TB, and income level). The dependent variable is the incidence of TB in DM patients. Control groups are respondents without a diagnosis of DM and TB patients. Conversely, the cases are personal with diagnosis TB and DM patient Data were collected using a questionnaire. Data analysis was carried out descriptively, bivariate with Chi-square, and multivariate with multiple logistic regression.Results: The demonstrated research that the risk factors that influence the incidence of TB in T2DM patients are gender (aOR = 9.60; 95% CI: 0.14 to 55.96; p=0.012), Age (aOR=0.24; 95% CI: 0.07 to 0.76; p=0.015).Conclusion: The female sex has a 9.60 times higher risk of experiencing TB compared to men in T2DM patients.